Destroying a Facial Pain Nerve at the Skull Base

Nationwide rates for HCPCS 64610

A needle is guided through the cheek to the small opening at the base of the skull where branches of the main facial sensation nerve pass, with x-ray imaging used to confirm the position. The nerve branches are then destroyed to stop severe, electric-shock-like facial pain. It is used when medicines no longer control the pain.

Rates data updated July 2026.

How much does Destroying a Facial Pain Nerve at the Skull Base cost?

$3,998

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $3,998 for this procedure. That total is two separate charges: $1,047 to the doctor who performs it, and $2,951 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

26% physician fee74% facility fee

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 55 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$1,047	$676 to $1,445
Facility feeThe hospital or surgery center	The hospital or surgery center	$2,951	$1,259 to $5,370

How much rates vary

Facilitymedian $2,951 · 10th to 90th $676 to $8,913Professionalmedian $1,047 · 10th to 90th $457 to $2,042

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $660.69 Median $2,630.27 Typical High $8,912.51	Facility	Global	$660.69	$2,630.27	$8,912.51
BCBS Setting Facility Modifier Global Typical Low $1,548.82 Median $4,168.69 Typical High $10,000.00	Facility	Global	$1,548.82	$4,168.69	$10,000.00
Cigna Setting Facility Modifier Global Typical Low $549.54 Median $1,548.82 Typical High $6,025.60	Facility	Global	$549.54	$1,548.82	$6,025.60
United Setting Facility Modifier Global Typical Low $1,412.54 Median $3,981.07 Typical High $9,120.11	Facility	Global	$1,412.54	$3,981.07	$9,120.11

What it costs in each state

The same service costs 2.8 times more in Wisconsin than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Touch or drag across the chart to see any state's rate.

WI $5,718NC $2,074

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.